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You must never underestimate the treatment of tonsillitis, avoid any physical effort or stress and save the energy of your body for the fight with the dangerous disease.
We must above all quickly decide, if we are going to treat tonsillitis with antibiotics  or  without them. We provide the following information, which can help you with your doctor, to reach a correct decision. 


As with any illness, a correct DIAGNOSIS is absolutely essential. 

If the doctor suspects tonsillitis, he or she can use the rapid streptococcus test (Rapid Strep A test), which takes only a few minutes (but it is not usually paid by the insurance company, price approx. 50 CZK), in order to find the cause of the tonsil inflammation. The sample is then microbiologically tested in a hospital laboratory to find out, if the inflammation is of a viral or bacterial origin. Unfortunately, we come across two main problems when diagnosing tonsillitis:

Physicians often do not perform a throat smear and they prescribe antibiotics immediately. In such case you should ask the physician to perform the smear, it is just a simple and painless procedure and it is paid by health insurance including the subsequent laboratory analysis. Prescribing antibiotics without a precise diagnosis, just “to be sure”, can both damage patient immunity and strengthen bacteria, which will survive a treatment with antibiotics, which is not correctly targeted. The last report of WHO warns about this threat.

Another problem is a time delay between the smear and the result of the laboratory test. Bacteria must be cultivated (multiplied) in the laboratory conditions, so that it is possible to discover, if and which bacteria are a cause of the illness, which usually takes 2 days. This is often too long and in the meantime, very serious complications may occur, in the case of aggressive strep throat. That is why it is necessary to immediately start careful treatment with antibiotics, i.e. resting in bed and intensively disinfecting the throat e.g. with Streptokill, which disinfects the throat and, with the help of a strong oak extract in combination with extracts from selected herbs, it is able to efficiently eliminate streptococci without weakening the patient’s immune system. When it is then proven in the laboratory within 2-3 days that the cause really is a bacterium, such as Streptococcus pyogenes, the patient may decide, if he or she should initiate the treatment with antibiotics or continue treating tonsillitis without antibiotics. 



Untreated tonsillitis may cause many complications. Tonsillitis may spread to adenoids or pharynx, or it can even cause a kidney inflammation or rheumatic fever, which can appear several weeks after the symptoms of tonsillitis have subsided, and affect the heart, joints and skin. These grave complications are now very rare, because most cases of tonsillitis are treated with antibiotics. If the patient wants to make sure that his/her tonsillitis was cured correctly and that the risk of serious complications after strep throat is minimised, he/she can ask for an analysis of urine and blood after tonsillitis. However, it is necessary to mention that laboratory analyses might not always be unambiguous. For example blood sedimentation decreases very slowly after tonsillitis, and the values of the so-called ASLO (ASL) of the antibodies against Streptolysine, a toxic protein formed by streptococci, increase and decrease even more slowly. 

Sometimes complications may occur, such as an abscess on the tonsils, which should be removed by a syringe, cut by a scalpel or the tonsils should be removed (tonsillectomy).

If the tonsils get enlarged and airways are blocked, the doctor may even initiate a short-term treatment with corticosteroids to suppress the infection and inflammation.


It usually takes about 2 weeks for our body to achieve full recovery. However, this period can be very individual. After repeated treatment with antibiotics, we have to count on the fact that convalescence may take even longer than a month however, after successfully treating tonsillitis without antibiotics, convalescence is usually significantly shorter.


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